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  Vol. 99 No. 3, March 1974 TABLE OF CONTENTS
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Neuropathological Findings of Hemifacial Spasm and Trigeminal Neuralgia

Hidehaku Kumagami, MD

Arch Otolaryngol. 1974;99(3):160-164.


Abstract

Ultrastructural findings in the peripheral nerves in idiopathic hemifacial spasm and trigeminal neuralgia were similar. At an early stage, microneuroma of the nerve fibers was characteristic, and the thickening of the myelin sheath was slight. The myelin sheath markedly thickened after repeated attacks.

Segmental demyelination or thinning of the myelin sheath seemed to be related to paroxysm. It is postulated that this is because of the formation of a short circuit between the afferent and efferent fibers.



Author Affiliations

Nagasaki, Japan

From the Department of Otolaryngology, Nagasaki University School of Medicine, Nagasaki, Japan.


Footnotes

Accepted for publication Feb 13, 1973.

Reprint requests to Department of Otolaryngology, Nagasaki University School of Medicine, 7-1, Sakamoto Machi Nagasaki, 852 Japan (Dr. Kumagami).



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